【食积腹胀之症】肚腹胀急，按之实痛，或一条扛起，或见累累小块，或痛而欲利，利
后稍减，此食积腹胀之症也。
【食积腹胀之因】嗜食不谨，胃强能纳，脾弱不消，停滞脾胃之间，则食积腹胀之症作
【食积腹胀之脉】右关多滑，或见沉实，或见滑动，或见弦急。
【食积腹胀之治】肚腹胀急，按之实痛，枳实散。一条扛起，痛而欲利，利后稍减者，
枳实散
陈枳实 莱菔子 麦芽 山楂肉
枳朴大黄汤
陈枳实 浓朴 广皮 甘草 大黄
【虫积腹胀之症】肚大青筋，腹皮胀急，反能饮食，或面见白 黑点，或喜食一物，或
腹起块扛，大便偶见长虫，此虫积腹胀之症也。
【虫积腹胀之因】脾气不足，强食伤脾，不能磨化，停积于中，湿热生虫，而腹胀之症
【虫积腹胀之脉】乍大乍小，乍数乍迟，或见沉滑，或见沉实，或见弦急，或见沉弦。
【虫积腹胀之治】追虫丸、万应丸、使君子丸。
有块扛起，下虫积而愈。
追虫丸
黑丑 槟榔 雷丸 南木香
万应丸
黑丑 大黄 槟榔 雷丸 南木香 沉香
使君子丸
使君子 芜荑 鹤虱 槟榔 百部 苦楝根皮
【痰饮腹胀之症】胸腹满闷，怔忡喘急，短息倚肩，呕恶痰涎，或腹中漉漉有声，此
【痰饮腹胀之因】胃强脾弱，多食难化，停滞为痰，转输失职，则腹胀之症作矣。
【痰饮腹胀之脉】脉多见弦，或见沉滑，或见沉弦，或见沉伏，或见偏弦。
【痰饮腹胀之治】胸闷怔忡，痰饮也，小半夏汤、二陈汤。喘息倚肩，支饮也，葶苈泻
肺汤。呕恶痰涎，平胃二陈汤。腹中漉漉有声，导痰汤下之。
小半夏汤
熟半夏 生姜
二陈汤
熟半夏 白茯苓 广皮 甘草
葶苈泻肺汤
甜葶苈 大枣肉
平胃二陈汤
苍术 浓朴 广皮 甘草 半夏 白茯苓
导痰汤 治痰涎壅盛，胸膈痞塞。
熟半夏 枳实 橘红 南星 茯苓 甘草
【食积腹胀的症状】腹部胀满紧迫，按压时感到实痛，或者有一条状隆起，或者看到累累的小块，或者疼痛且有便意，排便后症状稍减轻，这是食积腹胀的症状。
【食积腹胀的病因】饮食不节制，胃功能强盛能容纳食物，但脾功能虚弱不能消化，导致食物停滞在脾胃之间，从而引发食积腹胀的症状。
【食积腹胀的脉象】右关脉多呈滑象，或见沉实脉，或见滑动脉，或见弦急脉。
【食积腹胀的治疗】腹部胀满紧迫，按压时感到实痛者，使用枳实散。有一条状隆起，疼痛且有便意，排便后症状稍减轻者，也使用枳实散。
枳实散的组成：陈枳实、莱菔子、麦芽、山楂肉。
枳朴大黄汤的组成：陈枳实、浓朴、广皮、甘草、大黄。
【虫积腹胀的症状】腹部肿大，腹壁青筋暴露，皮肤胀紧，反而能进食，或者面部出现白色或黑色斑点，或者特别喜欢吃某种食物，或者腹部出现块状隆起，大便偶尔可见长虫，这是虫积腹胀的症状。
【虫积腹胀的病因】脾气不足，强行进食损伤脾脏，脾不能磨化食物，食物停积在中焦，湿热滋生虫体，从而导致腹胀的症状。
【虫积腹胀的脉象】脉象忽大忽小，忽快忽慢，或见沉滑脉，或见沉实脉，或见弦急脉，或见沉弦脉。
【虫积腹胀的治疗】使用追虫丸、万应丸、使君子丸。如果有块状隆起，通过下除虫积而痊愈。
追虫丸的组成：黑丑、槟榔、雷丸、南木香。
万应丸的组成：黑丑、大黄、槟榔、雷丸、南木香、沉香。
使君子丸的组成：使君子、芜荑、鹤虱、槟榔、百部、苦楝根皮。
【痰饮腹胀的症状】胸腹部满闷，心悸不安，气喘急促，呼吸短浅需倚靠肩膀，呕吐恶心伴有痰涎，或者腹中漉漉有声，这是痰饮腹胀的症状（原文此处缺“此...之症也”，依语境补全）。
【痰饮腹胀的病因】胃强脾弱，多吃食物难以消化，停滞转化为痰，转输功能失职，从而导致腹胀的症状发作。
【痰饮腹胀的脉象】脉象多见弦脉，或见沉滑脉，或见沉弦脉，或见沉伏脉，或见偏弦脉。
【痰饮腹胀的治疗】胸闷心悸，属于痰饮，使用小半夏汤、二陈汤。喘息需倚靠肩膀，属于支饮，使用葶苈泻肺汤。呕吐恶心伴有痰涎，使用平胃二陈汤。腹中漉漉有声，用导痰汤攻下治疗。
小半夏汤的组成：熟半夏、生姜。
二陈汤的组成：熟半夏、白茯苓、广皮、甘草。
葶苈泻肺汤的组成：甜葶苈、大枣肉。
平胃二陈汤的组成：苍术、浓朴、广皮、甘草、半夏、白茯苓。
导痰汤：治疗痰涎壅盛，胸膈痞塞。其组成为：熟半夏、枳实、橘红、南星、茯苓、甘草。
[Symptoms of Abdominal Distension due to Food Stagnation] The abdomen is distended and tight, with solid pain upon pressure. There may be a strip-like elevation or visible small lumps. Pain accompanied by the urge to defecate, which alleviates slightly after defecation, constitutes the symptoms of abdominal distension due to food stagnation (Shi Ji Zhang Fu).
[Etiology of Abdominal Distension due to Food Stagnation] Indiscretion in diet leads to strong stomach function capable of receiving food, but weak spleen function unable to digest it. Food stagnates between the stomach and spleen, triggering the symptoms of abdominal distension due to food stagnation.
[Pulse of Abdominal Distension due to Food Stagnation] The right Guan position pulse is predominantly slippery (Hua), or presents as deep and solid (Chen Shi), sliding (Shen Dong), or wiry and urgent (Xian Ji).
[Treatment of Abdominal Distension due to Food Stagnation] For abdominal distension and tightness with solid pain upon pressure, use Zhi Shi San (Immature Bitter Orange Powder). For cases with a strip-like elevation, pain with urge to defecate, and slight relief after defecation, also use Zhi Shi San.
Composition of Zhi Shi San: Chen Zhi Shi (Aged Immature Bitter Orange), Lai Fu Zi (Radish Seed), Mai Ya (Malt), Shan Zha Rou (Hawthorn Flesh).
Composition of Zhi Po Da Huang Tang (Immature Bitter Orange, Magnolia Bark, and Rhubarb Decoction): Chen Zhi Shi, Nong Po (Thick Magnolia Bark), Guang Pi (Tangerine Peel), Gan Cao (Licorice), Da Huang (Rhubarb).
[Symptoms of Abdominal Distension due to Parasite Accumulation] The abdomen is enlarged with prominent subcutaneous veins on the abdominal wall; the skin is distended and tense, yet appetite remains good. White or black spots may appear on the face, or there may be a craving for specific foods. Lump-like elevations may arise in the abdomen, and long worms may occasionally be seen in the stool. These constitute the symptoms of abdominal distension due to parasite accumulation (Chong Ji Zhang Fu).
[Etiology of Abdominal Distension due to Parasite Accumulation] Insufficiency of Spleen Qi combined with forceful eating damages the Spleen, preventing the grinding and transformation of food. Food stagnates in the middle jiao, generating damp-heat that breeds parasites, leading to abdominal distension.
[Pulse of Abdominal Distension due to Parasite Accumulation] The pulse fluctuates between large and small, rapid and slow. It may present as deep and slippery (Chen Hua), deep and solid (Chen Shi), wiry and urgent (Xian Ji), or deep and wiry (Chen Xian).
[Treatment of Abdominal Distension due to Parasite Accumulation] Use Zhui Chong Wan (Worm-Chasing Pill), Wan Ying Wan (Universal Response Pill), or Shi Jun Zi Wan (Quisqualis Pill). If lump-like elevations are present, resolving the parasite accumulation leads to recovery.
Composition of Zhui Chong Wan: Hei Chou (Black Morning Glory Seed), Bing Lang (Areca Nut), Lei Wan (Omphalia Lapponica), Nan Mu Xiang (Aucklandia Root).
Composition of Wan Ying Wan: Hei Chou, Da Huang, Bing Lang, Lei Wan, Nan Mu Xiang, Chen Xiang (Agarwood).
Composition of Shi Jun Zi Wan: Shi Jun Zi (Quisqualis Fruit), Wu Yi (Toona Leaf), He Si (Ascaris Herb), Bing Lang, Bai Bu (Stemona Root), Ku Lian Gen Pi (Melia Root Bark).
[Symptoms of Abdominal Distension due to Phlegm-Fluid Retention] Fullness and oppression in the chest and abdomen, palpitations, asthma, and urgency of breathing, shortness of breath requiring leaning on shoulders, nausea and vomiting with phlegm-saliva, or gurgling sounds in the abdomen. These constitute the symptoms of abdominal distension due to phlegm-fluid retention (Tan Yin Zhang Fu).
[Etiology of Abdominal Distension due to Phlegm-Fluid Retention] Strong stomach and weak spleen result in difficulty digesting excessive food, which stagnates and transforms into phlegm. Failure of transportation and transformation functions triggers the onset of abdominal distension.
[Pulse of Abdominal Distension due to Phlegm-Fluid Retention] The pulse is predominantly wiry (Xian), or presents as deep and slippery (Chen Hua), deep and wiry (Chen Xian), deep and hidden (Chen Fu), or biased wiry (Pian Xian).
[Treatment of Abdominal Distension due to Phlegm-Fluid Retention] For chest fullness and palpitations attributed to phlegm-fluid, use Xiao Ban Xia Tang (Minor Pinellia Decoction) and Er Chen Tang (Two-Cured Decoction). For asthma requiring leaning on shoulders, attributed to Branch Fluid (Zhi Yin), use Ting Li Xie Fei Tang (Descurainia Draining Lung Decoction). For nausea, vomiting, and phlegm-saliva, use Ping Wei Er Chen Tang (Calm the Stomach and Two-Cured Decoction). For gurgling sounds in the abdomen, administer Dao Tan Tang (Phlegm-Guiding Decoction) to purge downwards.
Composition of Xiao Ban Xia Tang: Shu Ban Xia (Prepared Pinellia), Sheng Jiang (Fresh Ginger).
Composition of Er Chen Tang: Shu Ban Xia, Bai Fu Ling (White Poria), Guang Pi, Gan Cao.
Composition of Ting Li Xie Fei Tang: Tian Ting Li (Sweet Descurainia Seed), Da Zao Rou (Jujube Flesh).
Composition of Ping Wei Er Chen Tang: Cang Zhu (Atractylodes Rhizome), Nong Po, Guang Pi, Gan Cao, Ban Xia, Bai Fu Ling.
Dao Tan Tang: Treats excessive phlegm-saliva obstruction and chest/diaphragm stuffiness. Composition: Shu Ban Xia, Zhi Shi (Immature Bitter Orange), Ju Hong (Orange Red Peel), Nan Xing (Arisaema Cum Bile), Fu Ling (Poria), Gan Cao.